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General NPI Number Information
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NPI Number | 1285591537
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Entity Type | Organization
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Legal Business Name | CAPE FEAR EMERGENCY PHYSICIANS PLLC DBA ELITE PRIMARY CARE
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Dates
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Enumeration Date | 01/08/2026
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Last Update Date | 01/08/2026
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Provider Practice Location Address
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Address Line | 4312 HENSON DR
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City | WILMINGTON
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State | NC
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Zip | 28405-7424
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Country | US
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Telephone | 910-604-9569
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Fax | 910-606-6990
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Provider Business Mailing Address
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Address Line | 8209 MARKET ST STE A
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City | WILMINGTON
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State | NC
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Zip | 28411-9632
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Country | US
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Telephone | 910-604-9569
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. RANDOLPH BENJAMIN WASKIN
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Credential | MD
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Telephone | 910-604-9569
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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